Federal inspection record · CMS data as of October 1, 2026
Waters Of Middletown Skilled Nursing Facility, The
981 Beechwood Ave, Middletown, IN · (765) 354-2278
- Certified beds
- 60
- Residents per day
- 28
- Ownership
- For-Profit
- Chain
- Infinity Healthcare Consulting
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1995
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Indiana.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Indiana homes
Waters Of Middletown Skilled Nursing Facility, The carries 23 inspection points. That is fewer than 67% of Indiana's 504 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Indiana: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–24 pts
- 3★ 24–42 pts
- 2★ 42–72 pts
- 1★ over 72 pts
Bars show every rated home in Indiana by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care7D
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1E
- E
Post nurse staffing information every day.
Inspection history
2026-01-29
2 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-12-09
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-09-01
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 39 min
Indiana average
3 h 44 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 56% of nursing staff and 80% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts worse | 90.6% | 93.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine13.6 pts worse | 81.5% | 95.1% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.8 pts better | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms27.8 pts worse | 53.3% | 25.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 5.9% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts worse | 25.0% | 23.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts better | 11.9% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.8 pts better | 1.3% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.8 pts better | 0.0% | 10.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts better | 19.3% | 22.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.1 pts better | 1.4% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine24.4 pts worse | 57.5% | 81.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse | 1.8% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.2 pts worse | 70.0% | 79.2% | 80.1% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Johnson Memorial Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 35 facilities |
| Berkhouse, Steven | Corporate Director · Individual | 0% | 21 facilities |
| Berkhouse, Steven | Corporate Officer · Individual | 0% | 21 facilities |
| Decola, Robert | W-2 Managing Employee · Individual | 0% | 33 facilities |
| Dunkle, David | Corporate Director · Individual | 0% | 35 facilities |
| Dunkle, David | Corporate Officer · Individual | 0% | 35 facilities |
| Dunkle, David | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Jackman, Sarah | Contracted Managing Employee · Individual | 0% | 2 facilities |
| The Waters Of Middletown Skilled Nursing Facility LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
·
Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Meet requirements for the installation and maintenance of electrical systems.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress2E
- E
Meet other general requirements that are deficient.
- D
Meet other general requirements.
Services2E
- D
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Middletown Nursing And Rehabilitation Center
Middletown, IN
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 16 min
- Fines
- $0
-
Waters Of Chesterfield Skilled Nursing Facility
Chesterfield, IN · Infinity Healthcare Consulting
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 20 min
- Fines
- $0
-
Envive Of Anderson
Anderson, IN · Envive Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 21 min
- Fines
- $0